Organization
CRYSTAL Y MOSTELLER O D INC PC
Active
Other names
Tuttle Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL YVONNE MOSTELLER O.D. (OWNER)
(405) 381-2244
Entity
Organization
Contact information
Practice address
206 E MAIN ST, TUTTLE, OK 73089-9138
(405) 381-2244
(405) 381-2246
Mailing address
PO BOX 1377, TUTTLE, OK 73089-1377
(405) 381-2244
(405) 381-2246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2491
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200109170A
—
OK
Enumeration date
03/06/2007
Last updated
01/11/2012
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